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General NPI Number Information
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NPI Number | 1285444893
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Entity Type | Individual
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Provider Name | JU YANG
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Gender | Female
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 5825 SUNSET DR STE 310
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5222
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Country | US
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Telephone | 626-990-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 SW 25TH ST APT 2107
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City | MIAMI
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State | FL
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Zip | 33133-2446
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Country | US
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Telephone | 626-990-6680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA105852
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License Number State | FL
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